Provider Demographics
NPI:1700114287
Name:ALAGOR, MARGARET CHIESONU (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:CHIESONU
Last Name:ALAGOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:CHIESONU
Other - Last Name:CHUKWUNTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1148 E 212TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-2408
Mailing Address - Country:US
Mailing Address - Phone:718-654-5192
Mailing Address - Fax:
Practice Address - Street 1:1148 E 212TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2408
Practice Address - Country:US
Practice Address - Phone:718-654-5192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-22
Last Update Date:2009-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019633-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist